Organization
NEW GENESIS CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYRETTA R. JAMES PH.D. (OWNER OPERATOR/CLINICAL DIRECTOR)
(410) 987-1036
Entity
Organization
Contact information
Practice address
8227 CLOVERLEAF DR STE 303, SUITE G, MILLERSVILLE, MD 21108-1536
(410) 987-1036
(888) 224-0984
Mailing address
112 W PENNSYLVANIA AVE, SUITE 100, BEL AIR, MD 21014-3669
(410) 838-8331
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04935
MD
104100000X
Social Worker
07685
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331149000
—
MD
Enumeration date
01/15/2014
Last updated
04/27/2016
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